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KarakaƟ E - - 2013
Primary intramuscular hydatid cyst should be considered for the differential diagnosis of cystic soft tissue masses especially in the endemic areas though primary muscular hydatidosis is a rare clinical entity. We aimed to report the case of a 30-year-old female patient with infected primary intramuscular hydatid cyst located in the ...
Shachor-Meyouhas Yael - - 2013
Prompt evaluation and appropriate treatment with wide-spectrum antibiotics is considered mandatory for febrile oncology patients especially during neutropenia. Central venous catheters are widely used in pediatric oncology patients and are often the source of infections. Patients are usually admitted for follow-up and administration of antibiotics. Aims were to assess the ...
Teixeira Pedro G PG From the Los Angeles County + University of Southern California Medical Center, Los Angeles, - - 2013
Experimental data have demonstrated a potential survival benefit for animals undergoing splenectomy immediately after traumatic brain injury. The aim of this study was to investigate the effect of splenectomy on survival in patients with moderate or severe traumatic brain injury (TBI). This is a National Trauma Data Bank (2002-2009) analysis ...
Sutcliffe Joseph - - 2013
Ultrasound-guided breast interventions (core biopsies, needle-wire localizations, and fine-needle cyst aspirations) are common procedures performed by radiologists. Residents must gain competency in these interventions during training. Phantoms and simulations have been advocated for teaching interventions, and various systems are available for standard breast interventions. However, simulations for difficult/high-risk interventions are ...
Sharma K - - 2013
Purpose: To evaluate multiplex Polymerase Chain Reaction (MPCR) utilising multiple targets (IS6110, Protein b [Pab] and MPB64 genes) in Mycobacterium tuberculosis Direct Test (MTD) negative but culture positive cases and comparison of MPCR with Real-Time polymerase chain reaction (RT-PCR) for diagnosis of tuberculosis. Materials and Methods: MPCR was carried out ...
Lee Tim H - - 2013
Pericardiocentesis (PCC) had been taught as a mandatory skill in the Advanced Trauma Life Support (ATLS®) course as a bridge to definitive surgical therapy for traumatic pericardial tamponade since its inception in 1978. Immediate thoracotomy for penetrating trauma to the heart and chest has resulted in the decreased use of ...
Bell Teresa M - - 2013
Disparities in outcomes for uninsured trauma patients have been well documented. This study investigates whether failure to rescue (FTR) is a driver of mortality disparities after injury and whether patients treated at hospitals with a large volume of uninsured patients are more likely to die after complication. A retrospective cohort ...
Modrykamien Ariel M - - 2013
As defined by the American Association for Respiratory Care, respiratory care protocols are "guidelines, usually written in algorithmic form, for providing respiratory therapy services." The need for protocols has been framed by the frequent occurrence of misallocation of respiratory care, consisting both of over-ordering (ie, prescribing respiratory care that is ...
- - 2013
STAFFING IS a prominent issue in the NHS and one much driven by the Francis reports into poor care at Mid Staffordshire NHS Foundation Trust. Many of Robert Francis's findings relate staffing levels not simply to the effectiveness of care but also to the culture of the organisation in which ...
Giri S - - 2013
Purpose: The frequency of mycotic infections of the nose and paranasal sinuses has been increasing over the past three decades. Apart from the common causes of fungal rhinosinusitis such as Aspergillus species and Penicillium species, there have been reports of rare and unusual fungi isolated from India and other countries. ...
Ellis Gemma - - 2013
LAST MONTH, I spent a day in Westminster as part of an initiative by the UK Sepsis Trust to encourage debate between MPs, healthcare organisation representatives and those affected, directly and indirectly, by a condition that claims 37,000 lives a year in the UK.
Cha Min Jae - - 2013
Objectives- There is no standardized method for size measurement of hepatocellular carcinoma. The purpose of this study was to evaluate whether the size and stage of hepatocellular carcinoma differ according to the imaging modality. Methods- This retrospective study was approved by our Institutional Review Board, and written informed consent was ...
Johnson Richard J RJ Division of Kidney Diseases and Hypertension, University of Colorado Denver, Aurora, - - 2013
The intake of added sugars, such as from table sugar (sucrose) and high-fructose corn syrup has increased dramatically in the last hundred years and correlates closely with the rise in obesity, metabolic syndrome, and diabetes. Fructose is a major component of added sugars and is distinct from other sugars in ...
- - 2013
WARD MANAGERS should 'buddy' up with senior doctors, who would support them in their supervisory role and share information with them, according to the Royal College of Physicians (RCP).
Black Martin D - - 2013
Despite recommendations supporting the importance of clinician-family communication in the ICU, this communication is often rated as suboptimal in frequency and quality. We employed a multifaceted behavioral-change intervention to improve communication between families and clinicians in a statewide collaboration of ICUs. Our primary objective was to examine whether the intervention ...
Christdas J - - 2013
Background: Hepatitis C virus (HCV) is a leading cause of chronic liver disease (CLD) that can progress to cirrhosis and hepatocellular carcinoma. Genotypes of HCV can vary in pathogenicity and can impact on treatment outcome. Objectives: To study the different genotypes among patients with HCV related CLD attending a tertiary ...
Agrawal S - - 2013
Entomophthoromycosis is chronic granulomatous fungal infection with varied presentation as subcutaneous,mucocutaneous and visceral infections. The majority of the subcutaneous infection caused by entomophthoralean fungi involves Basidiobolus spp, C. coronatus, or C. incongruous. A case of rhinoentomophthoromycosis in an immunocompetent male involving maxillary sinus and nose is presented. The patient was ...
- - 2013
The Nursing and Midwifery Council (NMC) has decided on revalidation as a way to improve how it regulates nurses.
Johnson Stephen - - 2013
Objectives- Because of the complex process and the risk of errors associated with the glutaraldehyde-based solutions previously used at our institution for disinfection, our department has implemented a new method for high-level disinfection of vaginal ultrasound probes: the hydrogen peroxide-based Trophon system (Nanosonics, Alexandria, New South Wales, Australia). The aim ...
Luque-Fernandez Miguel Angel MA Corresponding author: Miguel Angel Luque-Fernandez, - - 2013
Recently, sleep-disordered breathing (SDB) has been reported to be associated with the development of gestational diabetes mellitus (GDM). Accordingly, as this is emergent area of research that has significant clinical relevance, the objective of this meta-analysis is to examine the relationship between SDB with GDM. We searched several electronic databases ...
Allen Daniel - - 2013
BREAKING AN ankle soon after taking up post is not recommended as a way for aspiring managers to develop their careers. But it can bring benefits, as Rosie Kelly found out shortly after her appointment as clinical nurse manager of acute child health services at the South Eastern Health and ...
Kissin Eugene Y - - 2013
Objectives- The purpose of this study was to establish standards for musculoskeletal ultrasound competency through knowledge and skills testing using criterion-referenced methods. Methods- Two groups of rheumatology fellows trained in musculoskeletal ultrasound through a standardized curriculum, which required submission of ultrasound studies for review over 8 months. Both groups then ...
Volsko Teresa A - - 2013
Disease processes can impair ciliary function, alter secretion production and mucus rheology, and interfere with the cough reflex. Airway clearance therapy has been a cornerstone of therapy aimed at minimizing the devastating effects of airway obstruction, infection, and inflammation due to mucus stasis on the conducting airways and lung parenchyma. ...
Ma Youngeun - - 2013
The activated partial thromboplastin time (aPTT) is a routine coagulation test that reflects the activities of multiple coagulation proteins. Given the known genetic elements underlying the different coagulation factor activities, a low intraindividual variability is expected in aPTT values, but has not been demonstrated in a large population. In this ...
Purvis Dianna L - - 2013
Objectives- Blunt cervical vascular injuries, often missed with current screening methods, have substantial morbidity and mortality, and there is a need for improved screening. Elucidation of cerebral hemodynamic alterations may facilitate serial bedside monitoring and improved management. Thus, the objective of this study was to define cerebral flow alterations associated ...
Arévalo J F - - 2013
To determine if primary intravitreal injection of triamcinolone acetonide (TA) plus grid laser photocoagulation (GLP) is effective in treating cystoid diabetic macular edema (DME). Prospective comparative non-randomized clinical trial. Fourteen eyes (14 patients) diagnosed with cystoid DME were treated with GLP according to the Early Treatment Diabetic Retinopathy Study (ETDRS) ...
- - 2013
SHARON PALEY-WAKEFIELD has worked hard at the British Institute of Learning Disabilities to reduce the use of restrictive practices with patients, especially physical intervention.
Menaker Jay - - 2013
Respiratory compromise and the need for tracheostomy are common after cervical spinal cord injury (cSCI). The purpose of the study was to evaluate if admission American Spinal Injury Association (ASIA) motor score is associated with the need for tracheostomy following cSCI. The trauma registry identified patients with isolated cSCI during ...
Lipley Nick - - 2013
ACROSS THE UK patients fear for their long-term care and believe it will only be secure if health and social care is paid for through a combination of state and family funding.
Mendelsohn Robert - - 2013
This paper is an attempt to (1) expand the concept of the defense of projective identification to include everyday interactions between intimates who are not necessarily deeply disturbed, (2) show the importance of understanding projective identification inductions in couples therapy, (3) introduce a new way of working with normal/neurotic couples ...
Juang Paul - - 2013
Clostridium difficile is a gram-negative, anaerobic, spore-forming emerging pathogen within health care systems and community-based populations that has a high associated morbidity and mortality as well as cost for the health care system. Recent studies reported high rates of recurrence thus a need for new pharmacological agents to treat C ...
Large Thomas M - - 2013
We hypothesized that internal fixation procedures performed on trauma intensive care unit (ICU) patients with systemic infections, some also febrile, would be at increased risk for deep infection. A total of 128 patients (mean age, 37.4 years; mean Injury Severity Score [ISS], 34.7) admitted to the ICU with 179 femur ...
Senol G - - 2013
Anaerobes are important causes of pleural space infections. The aim of the study is to evaluate the role of the anaerobic bacteria in pleural infections. The study involved 278 consecutive clinical samples sent to the Clinical Microbiology Laboratory of Tertiary Chest Hospital. Anaerobes were isolated in 39 community acquired and ...
Gao Jing - - 2013
Objectives- To quantitatively assess the correlation between the corticomedullary strain ratio and cortical fibrosis in renal transplants. Methods- Using quasistatic ultrasound elasticity imaging, we prospectively assessed the corticomedullary strain ratio in renal allografts of 33 patients who underwent renal transplant sonography and biopsy. Based on Banff score criteria for renal ...
Gärtner Fania R FR From the Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, the - - 2013
To study the effectiveness of a mental module for workers' health surveillance for health care workers. Nurses and allied health care professionals from one organization were cluster-randomized at ward level to an intervention or control group. The intervention included screening for work functioning impairments and mental health complaints. Positively screened ...
Gurbuz H Alper - - 2013
Heparin is a universal drug used frequently for its anticoagulant effects. The variabilities in distribution and tendency of heparin to accumulate in tissues cause increased tissue concentrations despite normal serum levels. We aimed to underline the toxic effects of heparin in cell culture make projections for clinical applications. L929 mouse ...
Talving Peep - - 2013
The adverse effects of liver cirrhosis on outcomes following trauma has been established in retrospective series. In this study, however, we set out to evaluate prospectively the in-hospital outcome measures in this subgroup of trauma patients. Prospective observational study of all patients admitted to the surgical intensive care unit of ...
Abdul-Ghani Muhammad A MA Division of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, - - 2013
Inhibitors of sodium-glucose cotransporter 2 (SGLT2) are a novel class of antidiabetes drugs, and members of this class are under various stages of clinical development for the management of type 2 diabetes mellitus (T2DM). It is widely accepted that SGLT2 is responsible for >80% of the reabsorption of the renal ...
Chakravarti A - - 2013
Purpose: Hepatitis C virus (HCV) has emerged as a leading cause of chronic hepatitis, liver cirrhosis and hepatocellular carcinoma. There is a great variability in HCV's geographical presence, transmission routes, genotypic distribution etc., in studied populations. We undertook this study in a North Indian hospital on patients of chronic liver ...
Berndtson Allison E - - 2013
The strong ion difference (SID) (apparent [SIDa] and effective [SIDe]) and strong ion gap (SIG) provide a comprehensive method of evaluating acid-base status in critically ill patients. The SID is the difference between strong cations and strong anions in plasma, while the SIG demonstrates the presence of unmeasured ions. This ...
Wang Lin - - 2013
Objectives- The purpose of this study was to evaluate the diagnostic efficacy of contrast-enhanced sonography for differentiation of breast lesions by combined qualitative and quantitative analyses in comparison to magnetic resonance imaging (MRI). Methods- Fifty-six patients with American College of Radiology Breast Imaging Reporting and Data System category 3 to ...
Goldner Whitney S WS From the Diabetes, Endocrinology and Metabolism Division (Dr Goldner), Department of Internal Medicine, University of Nebraska Medical Center, Omaha; Department of Biostatistics (Dr Yu and Ms Shostrom), College of Public Health, University of Nebraska Medical Center, Omaha; Pulmonary, Critical Care, Sleep, and Allergy Division (Dr LeVan), Departments of Internal Medicine and Epidemiology, University of Nebraska Medical Center, Omaha; Epidemiology Branch (Drs Sandler, Hoppin, and Kamel), National Institute of Environmental Health Sciences, Research Triangle Park, NC; and VA Nebraska-Western Iowa Health Care System Research Service (Dr LeVan), Department of Veterans Affairs Medical Center, - - 2013
Evaluate the association between thyroid disease and use of insecticides, herbicides, and fumigants/fungicides in male applicators in the Agricultural Health Study. We examined the association between use of 50 specific pesticides and self-reported hypothyroidism, hyperthyroidism, and "other" thyroid disease among 22,246 male pesticide applicators. There was increased odds of hypothyroidism ...
Gould Milena - - 2013
Amyloidosis often involves the gastrointestinal tract. The small intestine is the most commonly involved gastrointestinal site. Gastrointestinal manifestations of amyloidosis involvement of the small intestine include diarrhea, gastrointestinal bleeding, and obstruction. High index of suspicion leading to early diagnosis is important in tailoring appropriate therapeutic management of these patients.
- - 2013
SUPERVISION ENCOMPASSES a variety of activities and meanings, and the author sets out to give advice on improving the styles and methods used. In nursing, the more recognisable variant is clinical supervision, which embraces a range of models, activities and perspectives. In other health professions, it is often mandatory and ...
Sánchez-García M - - 2013
To estimate the variability and reproducibility of confocal tomography (HRT), scanning laser polarimetry (GDx) and optical coherence tomography (OCT-Cirrus) to determine the thickness of the layer of ganglion fibers. A total of 75 normal eyes were examined twice. Inter-individual variability was analyzed after standardizing the results. The coefficient of variation ...
Hanley Jessica - - 2013
One of the most common barriers identified by physicians who fail to screen for posttraumatic stress disorder (PTSD) in trauma patients is time constraint. We hypothesized the four-question Primary Care-PTSD screen (PC-PTSD) was an acceptable alternative to the commonly used 17-question Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C). Consecutive trauma patients ...
Lam Matthew M Department of Radiology, University of California Davis School of Medicine, 4860 Y St, Suite 3100, Sacramento, CA 95817. - - 2013
Ultrasound backscatter microscopy (UBM), or ultrasound biomicroscopy, is a noninvasive, label-free, and ionizing radiation-free technique allowing high-resolution 3-dimensional structural imaging. The goal of this study was to evaluate UBM for resolving anatomic features associated with squamous cell carcinoma of the oral cavity. The study was conducted in a hamster buccal ...
- - 2013
COMPASSION IS at the heart of what we believe nursing to be. But recent cases of poor nursing care have led us to question the fundamentals of compassion, caring and communication, and their place in patient care.
Andrews Penny L - - 2013
Adult respiratory distress syndrome is often refractory to treatment and develops after entering the health care system. This suggests an opportunity to prevent this syndrome before it develops. The objective of this study was to demonstrate that early application of airway pressure release ventilation in high-risk trauma patients reduces hospital ...
Varughese Christy A - - 2013
Antibiotic-associated diarrhea (AAD) describes any unexplained diarrhea associated with the use of an antibiotic. AAD also includes infection caused by Clostridium difficile, however this organism only accounts for a small percentage of diarrhea caused by antibiotics. AAD can be caused by multiple other organisms including C perfringens, S aureus, and ...
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